Active NPI
Riley Moore
- Surgery Physician
- Casper, WY
National Provider Identifier
1841869260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20267A
- Practice address
- 419 S Washington St Ste 200
Casper, WY 82601-2951 - Phone
- (307) 577-4220
- Fax
- (307) 235-0931
- NPI assigned
- Jun 21, 2021
- Last updated
- Oct 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20267A | WY | Primary |
Addresses
Primary practice location
419 S Washington St Ste 200
Casper, WY 82601-2951
Mailing address
419 S Washington St Ste 200
Casper, WY 82601-2951
Phone (307) 577-4220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210914003771 | ND | Order and Referring Only - General Surgery | 3678979796 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RL17468 | ND | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1841869260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 S WASHINGTON ST STE 200",
"city": "CASPER",
"state": "WY",
"postal_code": "826012951",
"telephone_number": "307-577-4220",
"fax_number": "307-235-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 S WASHINGTON ST STE 200",
"city": "CASPER",
"state": "WY",
"postal_code": "826012951",
"telephone_number": "307-577-4220",
"fax_number": "307-235-0931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "RILEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-21",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WY",
"license": "20267A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.